Hopelessness Concept Paper

Running Head: CONCEPT ANALYSIS OF HOPELESSNESS

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Hopelessness: A Concept Analysis by Linda Gouthro

A Paper Submitted in partial fulfillment of the requirements for NU 607 Critical Analysis of the Scientific Underpinnings of Advanced Nursing Practice University of South Alabama College of Nursing Fall 2010

Running Head: CONCEPT ANALYSIS OF HOPELESSNESS

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Hopelessness: A Concept Analysis Introduction Paragraph: Hopelessness is a familiar term generally used to denote a negative emotional state. Despite frequent use of the term in the English language, conveying what might be considered a simplistic idea, hopelessness as a concept is multi-dimensional and complex. A review of the professional literature reflects an abundance of research accumulated by a variety of disciplines, including nursing, medicine, psychology, religion, sociology and the arts. The richness of the literature will be used to discuss hopelessness. The purpose of this paper is to analyze the significance of hopelessness using the concept analysis framework discussed by Chinn and Kramer (2008). Significance of Hopelessness to Nursing and Practice: Hopelessness was selected as a concept based on observed response variances viewed between different individuals faced with travesty and admitted to an inpatient mental health unit. The question as to why some individuals manage to cope with tragedy in a productive manner, while others opt to give up, emerged. Studies examining epidemiological prevalence of suicide suggest 25% of the general population experience suicidal ideation with depression (Goldney, Wilson, Del Grande, Fisher & McFarlane, 2000), while 50% of depressed inpatients report thoughts of suicide (Mann, Waternaux, Haas & Malone, 1999). The inclusion of hopelessness by the North American Nursing Diagnostic Association (1996) in their nursing diagnostic manual reflects the nursing profession's sensitivity to the impact of this concept in nursing practice. Dyer, Sparks, and

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